Modern matron, ward manager, consultant nurse

2019 ◽  
pp. 57-62
Author(s):  
Caroline Attard ◽  
Catriona Canning ◽  
Rose Warne
Keyword(s):  
Positive Culture ◽  
Well Being ◽  
Nursing Leadership ◽  
Care Quality ◽  
Inpatient Setting ◽  
Management Quality ◽  
Nurse Consultant ◽  
Inpatient Nursing ◽  
Nursing Roles

Nursing leadership focuses on three nursing roles that have particular significance for the smooth management, quality of care, quality improvement, and well-being of patients and staff on a ward. The three roles of ward manager, modern matron, and nurse consultant are discussed and the challenges these roles pose are explored in this chapter. Nursing leadership is identified as a significant factor in developing a positive culture in the inpatient environments and aspects of effective leadership are suggested along with ways to successfully manage, lead, and inspire a team in these roles. The roles of ward manager, modern matron, and NC play an important part in developing a positive culture within the inpatient setting, transforming the care provided as well as the image of inpatient nursing.

scholarly journals Better Life Index and Health Care Quality Indicators, Two New Instruments to Evaluate the Healthcare System

2018 ◽  
Vol 13 (2) ◽  
pp. 29
Author(s):  
Paolo Pietro Biancone ◽  
Silvana Secinaro ◽  
Valerio Brescia
Keyword(s):  
Health Care Quality ◽  
Well Being ◽  
Care Quality ◽  
P Value ◽  
Local Health ◽  
Better Life Index ◽  
Long Time ◽  
Health Care Quality Indicators ◽  
New Instruments

Local health companies have been trying to report quantitative and qualitative information through social reporting tools for a long time. The OECD has been questioning for quite some time how to evaluate satisfaction and quality by not considering the economic aspect alone in the quest for satisfying the needs of the citizen. The aim of the work is to evaluate how the compound indicator of well-being perceived by the population and the composite indicator of the quality of health services can be used to define health policies considering the incidence of other variables. In the analysis, it is therefore assessed how much the two indicators are related and linked to other variables that need to be considered and how independent indicators are used without further evaluations to target policies. The data are updated to October 18, 2017. All statistical analyses were performed using STATA V.13 (Stata Corp, College Station, Texas, USA, 2013) and p value <0.05 was considered significant for all analyses. The sample is made up of 35 OECD countries.

scholarly journals Komunitas Masyarakat Dan Perawatan Kesehatan Dalam Peningkatan Kualitas Hidup

2020 ◽  
Vol 10 (1) ◽  
pp. 11-24
Author(s):  
Agustinus Hermino
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Care Quality ◽  
Health Sector ◽  
Well Being ◽  
Individual Variability ◽  
Care Quality ◽  
Global Era ◽  
The Impact

Latar belakang: Seiring dengan perkembangan jaman, dalam beberapa tahun terakhir ini banyak perhatian yang difokuskan pada eksplorasi dampak penyakit fisik dan mental pada kualitas hidup seseorang baik secara individu maupun masyarakat secara keseluruhan. Sifat subyektif dari 'kualitas hidup' individu, merupakan konsep yang dinamis untuk diukur dan didefinisikan, tetapi bahwa secara umum dapat dipandang sebagai konsep multidimensi yang menekankan pada persepsi diri dari keadaan pikiran seseorang saat iniTujuan: penulisan ini bertujuan untuk memberikan pemahaman tentang peran masyarakat dalam memahani pentingnya kesehatan di era global ditinjau dari perspektif akademis. Pada sektor kesehatan pemahaman kesehatan menjadi sangat pentingnya karena akan menunjukkan pada kualitas hidup seseorang, tetapi hal ini tidak cukup secara individu karena diperlukan pemahaman secara menyeluruh terhadap masyarakat tentang makna kesehatan dan perawatan kesehatan.Metode: penulisan ilmiah ini adalah dengan melakukan analisa akademis dari dari berbagai sumber rujukan relevan sehingga menemukan makna teoritis baru dalam rangka menjawab tantangan yang terjadi di masyarakat.Hasil: Berdasarkan berbagai sumber rujukan yang ada, dapat disimpulkan bahwa kesehatan merupakan gaya hidup yang bertujuan untuk mencapai kesejahteraan fisik, emosional, intelektual, spiritual, dan lingkungan. Penggunaan langkah-langkah kesehatan dapat meningkatkan stamina, energi, dan harga diri, kemudian meningkatkan kualitas hidup. Dengan demikian maka konsep kesehatan memungkinkan adanya variabilitas individu. Kesehatan dapat dianggap sebagai keseimbangan aspek fisik, emosional, psikologis, sosial dan spiritual dari kehidupan seseorang. Kata kunci: masyarakat, perawatan kesehatan, kualitas hidup Society Community and Health Care in Improving Quality of LifeAbstract Background: Along with the development of the era, in recent years there has been a lot of attention focused on exploring the impact of physical and mental illness on the quality of life of a person both individually and as a whole. The subjective nature of an individual's 'quality of life' is a dynamic concept to measure and define, but that in general can be seen as a multidimensional concept that emphasizes self-perception of one's current state of mindAim: purpose of this study is to provide an understanding the role of community in understanding the importance of health in the global era from an academic perspective. In the health sector understanding of health is very important because it will show the quality of life of a person, but this is not enough individually because a comprehensive understanding of the meaning of health and health care is needed. Method: The method of scientific writing is to carry out academic analysis from various relevant reference sources, and find new theoretical meanings in order to answer the challenges that occur in society. Keyword: Community, Society,Health Care, Quality oflife Resullt : Based on various academic reference, it can be concluded that health is a lifestyle that aims to achieve physical, emotional, intellectual, spiritual, and environmental well-being. The use of health measures can increase stamina, energy, and self-esteem, then improve the quality of life. Thus the concept of health allows for individual variability. Health can be considered as a balance of physical, emotional, psychological, social and spiritual aspects of one's life. Keywords: community, health care, quality of life 

scholarly journals Person-Centred Care Transformation in a Nursing Home for Residents with Dementia

2021 ◽  
pp. 1-9
Author(s):  
Peiyan Ho ◽  
Rachel Chin Yee Cheong ◽  
Siew Pei Ong ◽  
Carol Fusek ◽  
Shiou Liang Wee ◽  
...  
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Quality Care ◽  
Well Being ◽  
Care Quality ◽  
Care Recipient ◽  
Staff Retention ◽  
Term Care

<b><i>Background:</i></b> Conventional nursing homes in Singapore adopt an institutional and medical model of care with a focus on safety and risk management. As such, less regard is placed on upholding the dignity and autonomy of the resident, which compromises quality of care and the well-being of the resident. Today, person-centred care (PCC) has become synonymous with high-quality care that sustains the well-being and personhood of the care recipient. <b><i>Objectives:</i></b> To describe the model of PCC adopted by a nursing home, Apex Harmony Lodge (AHL), with a logic model and evaluate outcomes on residents’ well-being, care quality, and staff attrition by comparing pre-PCC initiation (2015) to post-implementation (2016). <b><i>Methods:</i></b> Male residents in a 30-bed assisted living facility for persons with dementia in AHL were assessed using Dementia Care Mapping. Residents’ well-being and staff attrition were measured before and after PCC implementation. <b><i>Results:</i></b> There were statistically significant improvements in resident well-being (Δ = 0.44, <i>p</i> = 0.029), Positive Engagement Potential (Δ = 0.17, <i>p</i> = 0.002), and Occupational Diversity (Δ = 0.12, <i>p</i> = 0.014) in 2016. Withdrawal and Passive Engagement in the residents were reduced significantly as were Care Detractors. There was also a 55% reduction in staff attrition rates post-PCC. <b><i>Conclusions:</i></b> Post-PCC implementation, the outcomes indicate a superior quality of care, enhanced resident well-being, and better staff retention. The AHL PCC model could serve as a roadmap for other nursing homes aspiring to raise the quality of care and influence long-term care standards and regulations for policy makers and legislators.

Caregiving near the end of life: Unmet needs and potential solutions

2003 ◽  
Vol 1 (3) ◽  
pp. 247-259 ◽  
Author(s):  
PATRICIA A. MANGAN, ◽  
KATHRYN L. TAYLOR ◽  
K. ROBIN YABROFF ◽  
DAVID A. FLEMING ◽  
JANE M. INGHAM
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Focus Groups ◽  
End Of Life ◽  
Unmet Needs ◽  
Metastatic Cancer ◽  
Well Being ◽  
Care Quality ◽  
Comprehensive Cancer Center

Objective:A key aspect of the role of clinicians caring for patients in the setting of advanced illness focuses on attending to the needs of informal caregivers during the end-of-life period. The purpose of this study was twofold: (1) to complement and enrich existing quantitative findings regarding caregiver burden near the end of life, and (2) to identify potential solutions to caregivers' unmet needs in an effort to assist clinicians in the development of clinical interventions.Methods:This qualitative study, using focus groups and content analysis of transcripts, was conducted in a comprehensive cancer center in Washington, DC. Seven focus groups were held: three with recently bereaved caregivers and four with active caregivers of patients with metastatic cancer and an expected survival of 6 to 12 months.Results:Data were stratified into two broad categories: (1) general problems and (2) behaviors/activities that were helpful/would have been helpful in alleviating these problems. Within each of these two categories, five subcategories emerged: medical care (including provision of information, coordination of care, bedside manner, satisfaction with care), quality of life (including well-being, role adjustments), help from others (including practical assistance, social support), positives of caregiving, and unsolicited themes (including job flexibility, impact of the disease on the family, informational needs, relationship with patient).Significance of results:Results suggest caregivers may benefit from more information about patient prognosis and hospice, attention to quality-of-life issues, and enhanced, direct communication with clinicians. Although information of this nature is likely to be known to palliative care clinicians, the specific details and verbal insights provided by caregivers give an important voice to existing quantitative data and may provide more detailed information to assist palliative care clinicians seeking to develop interventions to meet caregiver needs during the period near the end of life.

725 Serious Illness, Sleep Quality, and Spirituality: an exploratory study in a multicultural inpatient setting

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A282-A283
Author(s):  
Laura Castro ◽  
John Peteet ◽  
Tracy Balboni ◽  
Harold Koenig ◽  
Fatima Cintra
Keyword(s):  
Quality Of Life ◽  
Sleep Quality ◽  
Short Form ◽  
Well Being ◽  
Inpatient Setting ◽  
Religious Activities ◽  
Subjective Sleep Quality ◽  
Falling Asleep ◽  
Spiritual Well Being

Abstract Introduction Spiritual well-being can impact quality of life and survival among diseased populations, similarly to sleep. Despite beneficial effects of spiritual-based practices on sleep, few studies have investigated an association between these attributes. Our goal was to explore correlations between measures of sleep quality and spirituality among severe medical inpatients hospitalized for different reasons, testing whether sleep could be a mechanism by which spirituality influences clinical outcomes. Methods Patients (18+ years) admitted in two units of the University’s hospital between Oct/2018 and Aug/2019 were invited to participate. Semi-structured interviews included the Duke Religiousness Index, the Belief into Action Scale, the Functional Assessment of Chronic Illness Therapy Spiritual Well-Being, the Pittsburgh Sleep Quality Index (PSQI), and the Short Form Six-Dimension (SF-6D) health index. Diagnoses were defined by the International Classification of Diseases. We used the Chi-square test, bivariate correlations, and Generalized Linear Models. Results A total of 146 consecutive patients were included (46.8±15.9 years, 51% men), 28% admitted for cardiovascular diseases, 26% for cancer, 20% rheumatologic disorders, and 26% for other conditions including hematological, nephro-urological, infectious, among other diseases. The mean PSQI was 10.1±4.7 and 55% of patients rated their sleep as poor. Average sleep duration was 6.5±1.9 hours. Insomnia (64%) was the most frequent sleep complaint, followed by nocturia (43%), pain (42%), and discomfort breathing (29%). There was a modest correlation between sleep quality and spiritual well-being (-0.23; p&lt;0.01). Maintenance insomnia correlated with less spiritual peace/meaning (-0.27; p&lt;0.01) and faith (-0.21; p=0.01), whereas pain, with more social (0.21; p=0.01) and private (0.24; p&lt;0.01) religious activities. Initial insomnia also correlated with private activities (0.18; p=0.04). Seep quality (0.43; 0.25–0.62), spiritual peace/meaning (-0.21; -0.40-[-0.01]), and social religious activities (0.18; 0.04–0.32) were independent indicators of higher SF-6D scores, additional to an interacting effect between sleep quality and spiritual well-being predicting better quality of life. Conclusion Subjective sleep quality is associated with spiritual well-being and quality of life, independently of the nature and severity of the medical disease. Our findings also suggest that patients suffering from nocturnal pain and trouble falling asleep might be more engaged with religious activities. Support (if any) Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Breast Cancer Mortality in the Primorsky Region: Data Analysis and Modeling

2021 ◽  
pp. 16-22
Author(s):  
MZ Ermolitskaya ◽  
Kiku ◽  
Abakumov
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Life Expectancy ◽  
Cancer Patients ◽  
Cancer Mortality ◽  
Breast Cancer Mortality ◽  
Well Being ◽  
Care Quality ◽  
Economic Indicators

Introduction: In the Primorsky Region, there is a steady upward trend in breast cancer morbidity and mortality. Lifestyle, material wellbeing, availability and timeliness of receiving medical care, along with genetic predisposition, have a significant impact on life expectancy and mortality of cancer patients, which is of great importance for public health, especially when developing a strategy to improve the quality of life and health status of the population. Objective: The study aimed to analyze the situation and to develop a model for mortality prediction based on breast cancer prevalence rates and socio-economic indicators of the population of the Primorsky Region. Materials and methods: The study was carried out based on data from the Federal State Statistics Service and the Medical Information Analytical Center of the Primorsky Region for 1994–2019. Correlation analysis was used to analyze statistical data and the prediction model was developed using artificial neural networks. Results: In 2000–2019, there was a rise in breast cancer mortality by 39.13 % in the region. The statistical analysis of the relationship between socio-economic indicators and the mortality rate showed significant correlations, which were further used for the development of a neural network model. We observed that predictions were most influenced by parameters of material well-being and health care quality. Conclusion: The established relationships prove the necessity of considering them when designing management decisions aimed to increase life expectancy and improve the quality of life in breast cancer patients.

scholarly journals MEASURING NETWORK WELL-BEING AND HEALTH AMONG PEOPLE LIVING WITH DEMENTIA: A MIXED-METHODS STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S71-S72
Author(s):  
Eleanor S McConnell ◽  
Sijia Wei ◽  
Bada Kang ◽  
Samantha Woog ◽  
Kayla Wright-Freeman ◽  
...  
Keyword(s):  
Social Networks ◽  
Social Network ◽  
Life Story ◽  
Well Being ◽  
Care Quality ◽  
Standardized Measures ◽  
Ice Cap ◽  
Network Mapping ◽  
Health And Well Being

Abstract The feasibility and utility of measuring social networks of people living with mild to moderate stage dementia to improve care quality was examined by comparing information obtained using Antonucci’s social network mapping approach and through information elicited through a series of open-ended questions regarding life story and well-being. Data were obtained from 24 interviews with 12 people belonging to one or more networks of people living with dementia receiving care in adult day programs. Concurrently we obtained measures of health and well-being using validated symptom checklists and the ICE-CAP suite of well-being measures. Parallel interviews were conducted with social network members who were in a care partner role, either paid or unpaid. Respondents were able to map social networks, and preferred open-ended questions to more standardized measures of quality of life and well-being. Findings from both sources were generally convergent, with open-ended questions providing richer information to guide care.

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